| NPI | 1821256207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT005233) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: KY PT005233) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2025-10-17 |